Assistant Utilization Coordinator - Denials/ Appeals
Summary: Under general supervision, an incumbent of this class
assists in the implementation or investigation of the procedures
specified in the Quality Management, Utilization Review and
Discharge Planning Program at Westchester Medical Center
specifically related to insurance denials and subsequent appeals
processes. Depending upon assignment, incumbents may implement the
review/screening aspects of the Quality Improvement Plan; monitor
the length of stay and resource consumption of patients; evaluate,
develop procedures to improve patient care; assist in carrying out
all aspects of the Quality Improvement Program to ensure that
Westchester Medical Center continues to meet the medical standards
for patient care prescribed by accrediting, licensing and
reimbursement agencies. Supervision may be exercised over a small
number of the support staff. Does related work as required.
Licensure: Possession of a valid license and current
registration, issued by the New York State Department of Education,
as a registered professional nurse.
Training and Experience: and three years of experience where the
primary function of the position was nursing in a hospital or
health care agency, one of which must have been at a leadership
level, and one year of which must have been in either a hospital,
health care agency or managed care company in the area of
utilization review, quality assurance, risk management or discharge
Apply for Transfer (current employees only)
External applicants click here to apply
External Application Confirm
Are you sure you want to continue as an EXTERNAL applicant?
Internal Application Confirm
Are you sure you want to continue as a INTERNAL applicant?